IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division PETITION FOR ORDER AUTHORIZING PAYMENTS FOR WARD'S DEPENDENT Petitioner, 1. Petitioner's address is alleges: and the name and address of petitioner's attorney are set forth at the end of this petition. 2. the Circuit Court in , , (the Ward) was adjudged by County, Florida, on , , to be incapacitated, and on was appointed as guardian of the property of the Ward. 3. because: Petitioner is a dependent of the Ward within the meaning of Florida Statutes Section 744.397 4. Petitioner is in need of aid and assistance for from the property of the Ward, such needs being more fully set forth on the list attached hereto as Exhibit A, and the estate of the Ward has the ability to pay for, provide or furnish such aid and assistance without unreasonably jeopardizing the care, support, education and maintenance of the Ward. Bar Form No. G-4.140 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner requests that an order be entered authorizing and directing the guardian of the property of the Ward to pay from the property of the Ward Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this day of , . Petitioner Attorney for Petitioner Email Addresses: Florida Bar No. (address) Telephone: I CERTIFY that a copy hereof has been furnished to: by , on , . Attorney [Print or Type Names Under All Signature Lines] Bar Form No. G-4.140 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com